WALDEN BEHAVIOR SOLUTIONS, LLC (NPI# 1568851889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568851889 |
| Entity Type | Organization |
| Organization Name | WALDEN BEHAVIOR SOLUTIONS, LLC |
| Practice Address |
9900 Shelbyville Rd Ste 8 Louisville KY 40223-2965 |
| Practice Telephone | 5029158796 |
| Practice Fax Number | 5028050765 |
| Mailing Telephone | 5029158796 |
| Mailing Fax Number | 5028050765 |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | KATIE SIAS WILKINSON (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5029158796 |
| Authorized Official Credential | MS, BCBA, LBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XM0800X |
Occupational Therapist Specialization: Mental Health |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | 0906666 | KY | Agencies |
| Y | 103K00000X | Behavioral Analyst | 101584 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100467300 | 05 | |
| KY | 7100338500 | 05 | |
| KY | SCL MEDICAID WAIVER | 7100455710 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 813 Foxfire Dr, Louisville, KY 402232781 | 3177307037 |
| Street Address |
9900 SHELBYVILLE RD STE 8 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40223-2965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558663559 | Katie Sias Wilkinson | Behavioral Analyst | 9900 Shelbyville Rd Ste 8, Louisville, KY 40223-2965 | 2010-11-23 |
| 1811513138 | Heavenleah Hiriams | Behavioral Analyst | 9900 Shelbyville Rd Ste 8, Louisville, KY 40223-2965 | 2020-06-23 |
| 1205498540 | Julie Nix | Behavioral Analyst | 9900 Shelbyville Rd Ste 8, Louisville, KY 40223-2965 | 2019-07-08 |
| 1659859320 | Morgan Ashley Hunt | Behavioral Analyst | 9900 Shelbyville Rd Ste 8, Louisville, KY 40223-2965 | 2018-08-03 |
| 1467930131 | Kimberly Cabrera | Behavioral Analyst | 9900 Shelbyville Rd Ste 8, Louisville, KY 40223-2965 | 2018-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235605668 | Ashlee Brooke Colville | Counselor | 13121 Esat Point Park Blvd, Suite F, Louisville, KY 40223 | 2018-10-24 |
| 1831619758 | Tracie S Lain | Developmental Therapist | 13101 Eastpoint Park Blvd., Louisville, KY 40223 | 2017-06-21 |
| 1972051399 | Ruby Denise Brooks | Counselor | 1407 Lafontenay Ct, Louisville, KY 40223 | 2016-09-14 |
| 1427409085 | Victoria Krepps Terrell | Nurse Practitioner | 13301 Shelbyville Rd Ste 103, Louisville, KY 40223 | 2016-06-24 |
| 1033570098 | Mackenzie Sipes | Chiropractor | 401 Creason Ct Unit 205, Louisville, KY 40223 | 2016-03-17 |
| 1699151258 | Chelsey Layne Gorham | Marriage & Family Therapist | 13121 Eastpoint Park Blvd Ste F, Louisville, KY 40223 | 2015-08-06 |
| 1356764187 | Paula Renee Garner | Social Worker | 1015 Dorsey Lane, Louisville, KY 40223 | 2014-01-30 |
| 1588086508 | Lori Bettenhausen Williams | Ophthalmology | 1413 Evergreen Rd, Anchorage, KY 40223 | 2014-01-09 |
| 1417392259 | Lauren Parsons Berry | Dentist | 9780 Ormsby Station Rd, Suite 1200, Louisviile, KY 40223 | 2013-05-07 |
| 1336486653 | Lynn M Pendley | Dietitian, Registered | 9400 Mill Brook Rd, Northeast Ymca, Louisville, KY 40223 | 2013-01-07 |
| Find all providers in zip 40223 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315897 | Ashley Wagner | Behavioral Analyst | 9905 Timberview Way, Louisville, KY 40223-3559 | 2020-10-29 |
| 1962009910 | Peta Lorraine St Clair Kimber | Behavioral Analyst | 1230 Liberty Bank Ln Ste 230, Louisville, KY 40222-5756 | 2020-10-02 |
| 1386254571 | Kari Marie Woods | Behavioral Analyst | 1230 Liberty Bank Ln, Louisville, KY 40222-5756 | 2020-08-03 |
| 1861970527 | Courtney Taylor Mcintyre | Behavioral Analyst | 9900 Shelbyville Rd Ste 11b, Louisville, KY 40223-2965 | 2018-08-03 |
| 1043702905 | Stacey Renee Shinn | Behavioral Analyst | 3322 Noe Way Apt 1, Louisville, KY 40220-1861 | 2018-06-05 |
| 1740792746 | Paola Romero | Behavioral Analyst | 912 Lily Creek Rd Ste 103, Louisville, KY 40243-2815 | 2017-10-30 |
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1750802161 | Enrich Educational & Behavioral Services | Behavioral Analyst | 1709 Bonnycastle Ave, Louisville, KY 40205-1014 | 2017-07-06 |
| 1508316860 | Ashley Shaw | Behavioral Analyst | 1448 Gardiner Ln Ste 202, Louisville, KY 40213-1982 | 2016-10-11 |
| 1821543141 | Clinical Behavior Analysis | Behavioral Analyst | 1601 Rosewood Ave, Louisville, KY 40204-1327 | 2016-08-16 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40223 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.